The family health program already covers more than 100 million inhabitants

Primary Care

Government doubles investment and expands coverage throughout the country

Since 2003, the meaning of Primary Care has been taken to the letter. The so-called "gateway" services to the health care system (Basic Health Units or health centers) have become instruments of a comprehensive policy of social protection and inclusion, with massive investment in services for women, children and the elderly who cannot afford private health insurance or live on the outskirts of large cities or in the remotest villages.

At the beginning of the Lula government, primary care investment was R$ 20.74 per capita. In 2010, it had reached R$ 49.98, including the amounts for the expansion of the Family Health program, the creation of primary care teams for the homeless, the basic river health units and care for the local river populations in the Amazon.

The ratio between the consolidation of the Family Health Teams and the reduction of infant deaths was found by the United Nations Development Programme (UNDP), which reported: for each 10% of expanding coverage of Health teams Famili

Smile Brazil – The largest free oral health program in the worldGogole+Facebook

For those who were unable to afford the services of a private dentist, the only semblance of the country's oral health policy was the indiscriminate use of forceps, the feared pliers used for pulling teeth.

For more complex cases or to restore the smiles of millions of Brazilians who had their teeth pulled — particularly the elderly — 1,013 Dental Specialty Centers were created. Moreover, since 2010, 1,650 laboratories are doing something unprecedented in the history of public health in the country: they produced over 4 million dentures. They were delivered free of charge to people whose mouths had been mutilated in the past.

Thanks to the program, Brazil is now part of the group of countries with low incidence of tooth decay, according to the World Health Organization (WHO). Moreover, through the Smile Brazil program’s prevention, basic treatment, specialized care, surgeries, root canal treatment and rehabilitation of oral health, some 400,000 fewer teeth were extracted at least a year!

The investment in the renovation of physical facilities where the Family Health program professionals work offers an idea of the importance of the strategy for the government: by the end of Dilma’s term of office, R$ 15 billion will have been invested to improve the structure of the basic units.

In 2013 this totaled R$ 3.1 billion, money that increased the number of "health clinics," as they are best known by the population, from 31,226 in 2011 to 39,959 by the end of 2013, of which 757 were built in what are considered “poor” areas. In the units that are being or have been expanded, there will be more space for the professionals to run therapeutic group activities with the elderly, diabetics, people with hypertension and pregnant women.

Physicians, educators, community health agents, teachers, parents and nurses work together to prevent disease and promote the health of children, teens and youths enrolled in public schools.

Since 2007, this program involves, in an unprecedented way, the Ministries of Health and Education. At school, the professionals conduct early diagnosis of chronic diseases, control of tooth decay, detection of vision problems and identify the nutritional status of students. Some 80,400 schools, daycare centers and kindergartens, with a majority of Bolsa Família students, are part of the program, which serves children and youths in 4,864 municipalities. The expansion of the School Health program for kindergartens and daycare centers is integrated with the Affectionate Brazil program, which was designed to ensure comprehensive care for children and youth by strengthening policies related to health and education.

Mental Health — Psychosocial care and integration with the family are now prioritiesGogole+Facebook

One year before Lula’s first election in 2001, the law of psychiatric reform condemned the old psychiatric hospitals from which patients were discharged — when they were discharged — with consequences worse than their diseases. It was up to the Lula and Dilma governments to create the new structures to serve the mentally ill in a humane and responsive way in order to integrate them into the family and society.

Since then, the budget allocated to mental health has tripled, jumping from R$ 620 million to R$ 2 billion. Consequently, the number of Community Psychosocial Health Service Centers (Caps) has reached 2,067 facilities in December 2013, nearly five times more than the 424 existing in 2002. Created at the end of the 1980s, the Caps involve the community and the family in treatment of the mentally ill so they can once again lead normal lives. As this is not always easy to accomplish, since 2003 the families of 4,245 Brazilians who for several years lived isolated in hospitals now receive financial aid, currently R$ 412.00 [per month].

Indigenous health ceased to be one of the actions of the National Health Foundation (Funasa) to become the exclusive focus of an office created in 2010 by the Ministry of Health. The main objective is to offer a holistic health care service through the SUS to Brazil’s Indian population. The government primarily invests in improving the sanitary conditions for waste management and water supply in the villages. As a result of these efforts, infant mortality among indigenous populations has been declining steadily since 2005. In 2009, it was 41.9 deaths per 1,000 live births, compared with 74.6 in 2000.